Police Federal Credit Union Visa Card Application

POLICE FEDERAL CREDIT UNION CREDIT CARD APPLICATION


CREDIT CARD APPLICATION INFORMATION

Is this an individual or joint application?  Individual - Credit in your name only based on your income and assets.<br /><br />Joint - Credit in your name and another person's name based on both applicants' income and assets.
  Individual
  Joint
Select Card Type:
Member Number
What is your housing situation?
Monthly Payment/Rent
$
Balance of Mortgage
$
Market Value of Property
$
No. of cars owned/leased

Year

Make

Model

Police Federal Credit Union will obtain a credit bureau report to capture debt information. Do you have any additional obligations such as child support, alimony, medical bills, government debt, personal loans, etc.?
Name of Creditor

Monthly Payment
$
$
Balance Due
$
$

PERSONAL INFORMATION - APPLICANT

First Name
MI
Last Name
Social Security Number
Date of Birth (mm/dd/yyyy)
/ /
E-mail Address
Mailing Address
City
State
Zip Code
Country
How Long at this Address?
Years Months
Daytime Phone
Evening Phone
Cell Phone
No. of Dependents

PRESENT EMPLOYMENT INFORMATION

Employer Name
Job Title
Gross Monthly Income
Address
City
State
Zip Code
Country
How long with the present employer?
Years Months

FAMILY INFORMATION

Name of closest relative (not living with you)
First Name
MI
Last Name
Mailing Address
City
State
Zip Code
Country
Daytime Phone
Evening Phone
Cell Phone
Relationship to Applicant 
Mother's Maiden Name

Additional Comments: Please include any additional information you may feel is relevant to your application.
Please note, this field is limited to 400 characters.


AGREEMENTS

I certify all statements herein are true and complete and are submitted for the purpose of inducing you to extend credit to me. I acknowledge that Section 1014 of Title 18 of the U.S. Code makes it a federal crime for anyone to make false statements or reports or willfully overvalue property or securities for the purpose of inducing or influencing the action of a federal credit union on an application for a loan, extension or renewal of the same, or for the acceptance, release, or substitution of collateral.

I expressly authorize any person, partnership, association, firm, corporation, or personnel office or officer, upon your request, to furnish you a credit report or other information concerning me relevant to the review and evaluation of this application or any subsequent re-evaluation thereof.

If applying for credit card, by submitting this form, I am applying for Police Federal Credit Union credit card. I'm aware that if I use the Police Federal Credit Union credit card or authorize its use or do not cancel my credit card account within 30 days after the card is received, the Police Federal Credit Union Card Holder Agreement provided with the card will be binding on me.

If this is a joint application I certify that the joint applicant I have provided has agreed to be a responsible party on this loan and has authorized me to give Police Federal Credit Union permission to acquire a credit report on Him/Her.

This Credit Card program is supported by Pentagon Federal Credit Union, which issues and services the credit card on behalf of Police Federal Credit Union.

I AUTHORIZE A SECURITY INTEREST IN THE POLICE FEDERAL CREDIT UNION SHARE ACCOUNT LISTED ABOVE AND IN ANY OTHER POLICE FEDERAL CREDIT UNION ACCOUNTS I MAY HAVE UP TO THE AMOUNT OF MY OUTSTANDING BALANCE TO PROTECT POLICE FEDERAL CREDIT UNION IF I DEFAULT ON ANY CREDIT EXTENDED OR CASH ADVANCED UNDER MY CREDIT ACCOUNT(S).